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<br />ANNUAL REPORT <br />PERMITTEE NAME: Western Mobile Southern, Inc. <br />PERMIT NO.: M85218 <br />OPERATION NAME: Rich Pit <br />ANNIVERSARY DATE: April 14, 1999 <br />ANNUAL FEE DUE ON ANNIVERSARY DATE: 550 <br />COUNTY: Pueblo <br /> <br />According to C.R.S. 34-32-1 16(3)(a), each year, on the anniversary date of the permit, an operator <br />shall submit the annual fee, a report and map showing the extent of current disturbances to affected <br />land, reclamation accomplished to date and during the preceding year, new disturbances that are <br />anticipated to occur during the upcoming year, reclamation that will be performed during the coming <br />year, the dates for the beginning of active operations, and the date active operations ceased for the <br />year, if any. <br />Please attach vour revised annual resort map and written report to this annual resort. Please <br />note drat cut adequately labeled map drat clearly detineales mrd includes die above elements may <br />suffice for a tivrilten report. <br />Please type or print the current contact person's name, mailing address, and phone number in the space <br />provided: <br />Contact Name: <br />Addres <br />Company: <br />Phone No.: <br />Fax <br />If there are additional comments and/or information that should be provided to the Division, please <br />provide it on a separate sheet and attach it to this report form along with your map and/or written <br />report. <br />Signature of Corporate Officer, or Owner Date <br />INSTRUCTIONS ON BACK <br />